HomeMy WebLinkAboutCLE200500191 Action Letter 2017-08-01Application for Zoning Clearance
OFFICE USE ``
C Zoning Clearance — $35 CLE # i
Check # Date.•
PLEASE REVIEW ALL 3 SHEETS Receipt # Staff:
PARCEL INFORMATION
Tax Map and Parcel:
Parcel
Parcel Address:
Existing Zoning__
- include suite or floor -----------
i-
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Zip=9
APPLICANT INFORMATION
Who should
}wj'ecail/write concerning this project? Py� i inaren
Address: 1' i V . l o(� City State Zip �.=S9
Office Phone: (_) Cell (4E-mail dx #
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PROJECT INFORMATION �jba'•
Business Name/Type: �!
Previous Business on this site: _ --
Proposed use:
. Va-w
Circle (if applicable): Fireworks / Christmas Tree
SEE CONDITIONS OF APPROVAL IF THE CLEARANCE IS FOR FIREWORK OR CHRISTMAS TREE SALES (Sheet3)
*This Clearance will only be valid on the parcel for which it is approved. If you change, intensify or move the use to a new location, a new Zoning
Clearance will be required.
I hereby certify that I own or have the owners permission to use the space indicated on this application. I also certify that the information provided is
true and accurate to the best of my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature - /-��� Printed /9i2LA44 , - G 04'/4d
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APPROVAL INFORMATION
( ) Approved as proposed
Approved with conditions
Building Official Date _ -1 l3 a S
Zoning Official � � � - --- Date 7 /!-4,#S .:
Other Official Date
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County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126
3/3/2005
Applicant MUST HAVE the following information to apply:
1 Tax Map and Parcel or Address with unit number or floor if appropriate.
2) A Floor Plan - either a sketch or an architectural drawing
a) If using less than the entire structure, note the location within the structure;
b) Note the total square footage of the use;
c) Note the square footage of each room or area of use;
d) Note the use of each room or area of use.
Intake to complete the following:
Y 10 Is the use in a LI, HI or PDIP zoning?
If so, give applicant a Certified Engineer's Report (CER) packet.
Can not issue until CER is approved by the County Engineer.
I N Will there be food preparation? 1 i
If so, fax application to Health Department. FAX DATE
Can not issue until we receive approval from Health Dept.
N Is the parcel on private well and septic?
If so, fax application to Health Department. FAX DATE
Can not issue until we receive approval from Health Dept.
Y A@ Is the parcel on public water and sewer?
Y/N
Will you be putting up a new sign of any kind?
If so, obtain proper Sign permit. Permit #
/ N Will there be any new construction or renovations?���� 1
If so, obtain the proper Permit. Permit #
Y '`Y Is this for sales of Fireworks?
If so, obtain a copy of F/R permit.
Zoning Tech to complete the following:
Violations:
Y / N If so, List:
Variance:
Y 1 N If so, List
Reviewer to complete the following:
Square footage of Use:
Permit #
Proffers:
Y / N If so, List:
/ ITT If so, List:
Permitted as:
Under Section: —'"lr s W &�^ ! "''— upplementary regulations section:
Parking formula: Required spaces:
Y. ems to be verified in the field: